Healthcare Provider Details

I. General information

NPI: 1952803280
Provider Name (Legal Business Name): LINDSEY LARGEN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2018
Last Update Date: 03/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16500 INDIAN CREEK PKWY STE 106
OLATHE KS
66062-1215
US

IV. Provider business mailing address

12141 S ROUNDTREE ST
OLATHE KS
66061-3144
US

V. Phone/Fax

Practice location:
  • Phone: 785-341-5464
  • Fax:
Mailing address:
  • Phone: 785-341-5464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2558
License Number StateKS

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: